Prior Authorization & Eligibility Specialist - Sign-On Bonus

Midwest Cardiovascular Institute; Norristown (Montgomery County); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Sign-on bonus $500

Medical insurance

Vision insurance

Dental insurance

401k with profit sharing

Paid time off

Paid holidays

Job summary

Cardiology Consultants of Philadelphia (CCP) is hiring a full-time Pre-Authorization/Eligibility Specialist for our Norristown, PA location. The role includes verifying insurance coverage, updating records in EMR, obtaining authorizations, and assisting patients with financial responsibilities.

A sign-on bonus of $500 is offered. The ideal candidate has prior medical office experience, knowledge of insurance plans, and strong communication skills.

Qualifications

• Experience working in a medical office.
• Knowledge of medical insurance plans and coverage.
• Ability to multitask and manage multiple priorities.
• Strong computer skills and familiarity with EMR systems.

Responsibilities

• Verify patient insurance coverage and benefits prior to appointments, procedures, and treatments.
• Review and update patient demographic and insurance information in EMR systems.
• Determine patient eligibility for healthcare services based on insurance plan requirements.
• Obtain and document referrals, prior authorizations, and pre-certifications as needed.
• Contact insurance companies to verify coverage, benefits, deductibles, co-pays, and out-of-pocket responsibilities.
• Communicate eligibility and authorization information to patients and clinical staff.
• Resolve insurance discrepancies, denials, and coverage issues in a timely manner.
• Maintain accurate records of all eligibility verification activities.
• Ensure compliance with HIPAA and other applicable healthcare regulations.
• Collaborate with billing, scheduling, and clinical teams to support efficient patient care and revenue cycle operations.
• Assist patients with understanding insurance benefits and financial responsibilities.
• Other duties as assigned

Skills

Medical office experience

Medical insurance knowledge

Multitasking

Computer literacy

Tools

EMR system experience

Job description

Cardiology Consultants of Philadelphia (CCP) is hiring a full-time Pre-Authorization/Eligibility Specialist for our Norristown, PA location. The role includes verifying insurance coverage, updating records in EMR, obtaining authorizations, and assisting patients with financial responsibilities.

A sign-on bonus of $500 is offered. The ideal candidate has prior medical office experience, knowledge of insurance plans, and strong communication skills.